Telligen is pleased to announce a simplified process for registration to our Qualitrac portal. Effective immediately, all new portal registrations will be completed entirely online. Simply click on the Provider Portal Registration – Register button to get started.

Signatures will be completed electronically using DocuSign technology with a final version of the document routed to you for your files. When you receive your final version, our registration team will automatically receive your packet via DocuSign and will process your registration within 5-7 business days.

NOTE: You no longer need to have your form notarized or mail your packet to us.

DME providers, please view the memo from the Division of Community Support Services: DME/SMS Oxygen Unit regarding the medication Relizorb, HCPCS code B4105.

Memo – 09/22/20